Individual provider Active NPI

William E Bowles, DO

  • Surgery Physician
  • Hattiesburg, MS
National Provider Identifier
1902805120
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2474 Issued in KY
Practice address
6051 US Hwy 49
Hattiesburg, MS 39401
Phone
(601) 288-2690
Fax
(601) 288-2695
NPI assigned
Jul 19, 2005
Last updated
Mar 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2474 KY Primary

Addresses

Primary practice location

6051 US Hwy 49
Hattiesburg, MS 39401

Mailing address

PO Box 16389
Hattiesburg, MS 39404
Phone (601) 288-2690

Other identifiers 1

IdentifierTypeStateIssuer
64024748MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000361 MS Practitioner - General Surgery 8123049624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FGH Trauma Surgery ClinicGroup PAC ID 7517916331, 20 clinicians

Practice addresses (Care Compare)

6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-2690

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
87.45
Promoting interoperability
100
Improvement activities
40
Cost
87.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1425KYMDCounselor
2474KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crossgates Hma Medical Group, LLC Surgery CurrentSince Aug 1, 2011 Accepting new patients
Crossgates Hma Medical Group, LLC CurrentSince Aug 1, 2011 Accepting new patients
FGH Trauma Surgery Clinic Surgery CurrentSince Jun 15, 2014 Accepting new patients
Crossgates Hma Medical Group LLC Surgery Current Accepting new patients
Jackson Physician Corp Past Accepting new patients
Forrest County General Hospital Past Accepting new patients
Jackson Physician Corp Past Accepting new patients

Locations

201 N College St
Ste 102
Brandon, MS 39042
Phone (601) 825-3074

346 Crossgates Blvd
Ste 101
Brandon, MS 39042
Phone (601) 825-6505

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

6051 U S Highway 49
Fl 5
Hattiesburg, MS 39401
Phone (601) 288-8510

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1902805120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16389",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39404",
            "telephone_number": "601-288-2690",
            "fax_number": "601-288-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 US HWY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-288-2690",
            "fax_number": "601-288-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "2474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64024748",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.